Member rights and disenrollment

If you disenroll from our plan voluntarily we will send you a confirmation letter acknowledging the receipt of your request and stating the effective date of your disenrollment

You have the right to make a complaint if we end your membership in our Plan.

Voluntarily ending your membership

Involuntarily ending your membership

Voluntarily ending your membership

You can voluntarily disenroll from Sharp Direct Advantage by submitting a written notification requesting to disenroll from our plan. Please include your name and member ID on the written letter and mail it to:

Enrollment/Disenrollment
8520 Tech Way, Suite 201
San Diego, CA 92123

You can also call 1-800-MEDICARE or switch to another Medicare organization. If you disenroll by calling 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week, or consult www.medicare.gov or switch to another Medicare organization, you do not need to submit written notification to Sharp Direct Advantage. Your membership will end automatically once we receive the notification from Medicare. Once notification of the disenrollment request is received, typically your membership will end the first of the following month after the request is received.

If you leave our plan, it may take time before your membership ends and your new Medicare coverage goes into effect. During this time, you must continue to get your medical care and prescription drugs through our plan until your disenrollment goes into effect and your Sharp Direct Advantage coverage ends.

Involuntarily ending your membership

Involuntary disenrollment means that Sharp Direct Advantage can disenroll you from the plan if the following situations occur:

If you no longer meet the eligibility requirements to remain a member of Sharp Direct Advantage.

If you engage in disruptive behavior, to the extent that your continued enrollment seriously impairs the ability to arrange or provide medical care for you or for others who are members of the Plan.

If you provide fraudulent information on an enrollment request

If you permit abuse of an enrollment card by letting someone else use your medical ID card. If you are disenrolled for this reason, the Centers for Medicare and Medicaid Services (CMS) may refer your case to the Inspector General for additional investigation.

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

Call 1-855-562-8853 (TTY/TDD 711).
Hours of operation: Oct. 1 – March 31 from 8 a.m. to 8 p.m. Pacific Time, 7 days a week; April 1 – Sept. 30 from 8 a.m. to 8 p.m. Pacific Time, Monday through Friday. Calling after hours will direct you to our voicemail system and a Customer Care representative will return your call the next business day.